Ventricular Septal Defect Following Nonpenetrating Trauma

From the Institute of Diseases of the Chest of Recife. Real Hospital Português de Beneficência em Pernambuco. Av. Portugal, 163, Recife Brazil. Rupture of the interventricular septum may result from blunt trauma of the chest or from a penetrating wound of the heart. Patients with traumatic ventricular septal defect from a penetrating wound usually have symptoms and signs of cardiac tamponade or hemothorax and do not develop the typical clinical picture of an acute ventricular septal defect, due to blunt trauma, which is quite similar to those of interventricular septal ruptures following myocardial infarction. Traumatic ventricular septal defect was first described by Hewett’ in 1847. EaSt2 made the first diagnosis in life and Guilfoil and Doyle3 reported the first case proven by cardiac catheterization. The first successful repair of traumatic ventricular septal defect was performed by Lillehei in 1955. This case was reported upon by Campbell .4 Since then, at least twenty-one4-23 patients have received surgical treatment for ventricular septal defect due to indirect trauma. In the present paper a case of traumatic ventricular septal defect repaired surgically is described and the surgical literature reviewed.

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